Fors Andreas, Ulin Kerstin, Cliffordson Christina, Ekman Inger, Brink Eva
Institute of Health and Care Sciences, University of Gothenburg, Sweden Centre for Person-Centred Care (GPCC), University of Gothenburg, Sweden
Institute of Health and Care Sciences, University of Gothenburg, Sweden Centre for Person-Centred Care (GPCC), University of Gothenburg, Sweden.
Eur J Cardiovasc Nurs. 2015 Dec;14(6):536-43. doi: 10.1177/1474515114548622. Epub 2014 Aug 22.
Cardiac self-efficacy is a person's belief in his/her ability to manage the challenges posed by a coronary disease, and its role has been evaluated in several coronary populations using the Cardiac Self-Efficacy Scale (CSE Scale). Self-efficacy has an important role in person-centred care, however there is a lack of appropriate instruments that evaluate person-centred interventions.
The purpose of this study was to validate the CSE Scale by examining its psychometric properties as a first step in evaluating a person-centred care intervention in persons with acute coronary syndrome (ACS).
The study sample consisted of 288 persons (72 women, 216 men) who completed the Swedish version of the CSE Scale two months after hospitalisation for an ACS event. Construct validity was psychometrically evaluated using confirmatory factor analysis. Additionally, convergent and discriminant validity were tested using correlation analyses.
The results revealed that the CSE Scale was represented by three dimensions (control symptoms, control illness and maintain functioning). The analyses also showed that the CSE Scale is suitable for providing a total summary score that represents a global cardiac self-efficacy dimension. Evaluation of convergent and discriminant validity showed the expected correlations.
The CSE Scale is a valid and reliable measure when evaluating self-efficacy in patients with ACS. It also seems to be a useful tool to promote person-centred care in clinical practice since it may offer useful guidance in the dialogue with the patient in the common creation of a personal health plan.
心脏自我效能感是指一个人相信自己有能力应对冠状动脉疾病所带来的挑战，并且其作用已通过心脏自我效能量表（CSE量表）在多个冠心病群体中得到评估。自我效能感在以患者为中心的护理中起着重要作用，然而，缺乏评估以患者为中心干预措施的合适工具。
本研究的目的是通过检验其心理测量特性来验证CSE量表，作为评估急性冠状动脉综合征（ACS）患者以患者为中心护理干预措施的第一步。
研究样本包括288人（72名女性，216名男性），他们在因ACS事件住院两个月后完成了瑞典语版的CSE量表。使用验证性因素分析对结构效度进行心理测量评估。此外，使用相关分析测试收敛效度和区分效度。
结果显示，CSE量表由三个维度（控制症状、控制疾病和维持功能）构成。分析还表明，CSE量表适合提供一个代表整体心脏自我效能感维度的总分。收敛效度和区分效度的评估显示出预期的相关性。
在评估ACS患者的自我效能感时，CSE量表是一种有效且可靠的测量工具。它似乎也是临床实践中促进以患者为中心护理的有用工具，因为它可能在与患者共同制定个人健康计划的对话中提供有用的指导。
